Sleep study unattended at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$260.70
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,738.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$153.06 with UNITED HEALTHCARE vs $1,738.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $153.06 | ↓ -41% |
| BLUE CROSS | TENNCARE BLUE CARE | $174.08 | ↓ -33% |
| BLUE CROSS | TENNCARE BLUE SELECT | $174.08 | ↓ -33% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $189.76 | ↓ -27% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $194.44 | ↓ -25% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $200.27 | ↓ -23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $200.27 | ↓ -23% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $201.49 | ↓ -23% |
| AETNA | AETNA HEALTHCARE MEDICARE | $201.49 | ↓ -23% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $201.49 | ↓ -23% |
| HUMANA | HUMANA MEDICARE | $201.49 | ↓ -23% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $201.49 | ↓ -23% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $201.49 | ↓ -23% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $201.49 | ↓ -23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $201.49 | ↓ -23% |
| SENTARA HEALTH | SENTARA MEDICARE | $201.49 | ↓ -23% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $201.49 | ↓ -23% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $202.22 | ↓ -22% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $202.22 | ↓ -22% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $207.53 | ↓ -20% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $207.53 | ↓ -20% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $209.55 | ↓ -20% |
| BLUE CROSS | BLUE CROSS MEDICARE | $209.55 | ↓ -20% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $211.56 | ↓ -19% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $211.56 | ↓ -19% |
| NHC ADVANTAGE | NHC ADVANTAGE | $211.56 | ↓ -19% |
| WELLCARE | WELLCARE MEDICARE | $213.58 | ↓ -18% |
| AMERIGROUP | AMERIGROUP | $236.36 | ↓ -9% |
| CIGNA HEALTHCARE | CIGNA PPO | $338.03 | ↑ +30% |
| CIGNA HEALTHCARE | CIGNA HMO | $338.03 | ↑ +30% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $338.03 | ↑ +30% |
| AMBETTER | AMBETTER | $439.24 | ↑ +68% |
| BLUE CROSS | BLUE CROSS P NETWORK | $468.27 | ↑ +80% |
| BLUE CROSS | BLUE CROSS E NETWORK | $468.27 | ↑ +80% |
| BLUE CROSS | BLUE CROSS S NETWORK | $468.27 | ↑ +80% |
| SENTARA HEALTH | SENTARA HEALTH | $606.39 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $608.30 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $806.43 | ↑ +209% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $940.00 | ↑ +261% |
| AETNA | AETNA | $1,108.84 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,166.00 | ↑ +347% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,303.50 | ↑ +400% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,391.00 | ↑ +434% |
| WELLCARE | WELLCARE MEDICAID | $1,738.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,738.00 | ↑ +567% |
Visitor-reported prices
Comments
Sleep study unattended at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $260.70 | $153.06 – $427.38 |
| Ascension Saint Thomas Midtown | Nashville | $354.93 | $134.86 – $227.70 |
| CHI Memorial Hospital Hixson | Hixson | $254.56 | $123.64 – $602.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $117.53 | $124.30 – $285.74 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $363.78 | $123.64 – $602.00 |
| Hancock County Hospital | SNEEDVILLE | $255.76 | $85.04 – $350.02 |
| Greeneville Community Hospital | GREENEVILLE | $260.70 | $61.23 – $439.24 |
| Bristol Regional Medical Center | BRISTOL | $260.70 | $102.04 – $491.61 |